Surgical Technologist Certifying Exam Study Guide: AST Practice Exam #2 Flashcards


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1

Which of the following is a type of tissue forceps?

Brown-Adson

2

Which endoscope is used to visualize the heart and major vessels?

Angioscope

3

The goal of the surgical scrub is lower the population of which flora to an irreducible minimum?

Resident

4

Which needle is used during the bladder suspension procedure for treating stress incontinence in women?

Stamey

5

Which procedure can be performed without making an incision to treat varicose veins?

Sclerotherapy

6

When repairing a direct hernia the surgeon works within the anatomical triangle formed by the inguinal ligament, inferior epigastric vessels and the lateral border of the rectus abdominis called:,

Hesselbach's

7

Which of the following is the correct postoperative sequence of actions completed by the surgical technologist?
1. Assist with postop patient care
2. Remove drapes
3. Remove gown and gloves
4. Break down sterile setup

2, 3, 1, 4

8

What should be completed before the sterile items are opened for the first procedure of the day?

Wipe down furniture and surfaces

9

Cardiac muscles are controlled by which division of the nervous system?

Autonomic

10

Oophor/o is the root word for which anatomical structure?

Ovary

11

In which of the following would absorbable suture be contraindicated?

Vascular anastomosis

12

During a cesarean section which organ is freed from the uterus to prevent injury?,

Bladder

13

Which of the following refers to the absence of pathogens?

Aseptic

14
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Which surgical procedure would use the instrument shown below?

D&C

15

What must be done prior to positioning a patient undergoing a posterior lumbar laminectomy?

Endotracheal intubation

16
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What is the name of the instrument shown below?

Pennington

17

Which of the following damages the mastoid air cells and ossicles of the ear?

Cholesteatoma

18

When placing a swaged needle onto a needle holder the needle should be clamped:,

One-third distance from swaged end of needle

19

Which endoscope is used for the removal of foreign bodies from the airway of a pediatric patient?

Rigid bronchoscope

20

Which of the following elements primarily make up the body's mass?

Oxygen, carbon, hydrogen, nitrogen

21

Which instrument is used to contract the ribs for suturing purposes?

Bailey

22

The largest muscle of the upper calf is the:

Gastrocnemius

23

What is the length of time when thrombin loses its potency?

3 hours

24

The function of the small intestine is:

Absorption of nutrients

25

The teeth are composed primarily of:

Dentin

26

The basis for the design of electrical equipment in the OR is:

Electron theory

27

Which of the following procedures is performed to decrease gastric secretions?

Vagotomy

28

A patient who underwent an appendectomy enters the emergency department with severe abdominal pain constipation and vomiting. Which of the following is occurring?,

Obstructed bowel

29

Which organ shares the same blood supply with the pancreas and must be removed during a Whipple procedure?

Duodenum

30

During a cleft palate procedure which equipment should the surgical technologist be prepared to set up quickly?,

Drill

31

The muscle that flexes and supinates the forearm and covers the anterior portion of the upper arm is the:

Biceps brachii

32

A surgeon tells a patient she has terminal cancer but requires prophylactic surgery to prevent a bowel obstruction and the patient replies "This can't be happening to me." Which stage of grief is the patient displaying?,

Denial

33

What is the purpose of inserting a ureteral stent catheter?

Bypass calculi obstruction

34

Which of the following is used to create the trough on the anterior glenoid rim during a Bankart procedure?

Shaver with abrader tip

35

Which of the following secretes hydrochloric acid?

Parietal cells

36

Which of the following preoperative diagnostic tests would be administered to a patient with a brain injury?

EEG

37

Which of the following is a type of fenestrated drape?

Extremity

38

The walls of the vagina are lined with:

Mucosa

39

Which type of scalpel uses ultrasonic energy to cut and coagulate tissue?

Harmonic

40

A Fogarty catheter is used during a/an:

Embolectomy

41

Which of the following positioning devices is needed when placing the patient in the supine position?

Elbow pads

42

During a trabeculectomy which two layers are incised at the beginning of the procedure?,

Tenon's capsule & Conjunctiva;

43

What instrument set should the surgical technologist have available in the OR when preparing for an inguinal herniorraphy?

Bowel

44

Which of the following is used to obtain specimens during a bronchoscopy?

Lukens tube

45

Which suture material would be used in the presence of infection?

Steel

46
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Which surgical procedure uses the instrument shown below?

Blepharoplasty

47
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Which surgical specialty most often uses the instrument shown below?

Gynecologic

48

Which of the following hernias can result in necrosis of the viscera?

Strangulated

49

When the surgeon makes a McBurney's incision which muscle is encountered first and divided in he direction of its fibers?,

External oblique

50

Which of the following maintains the position of the uterus?

Broad ligament

51

Transverse colectomy is incised through which incision?

Upper midline

52

Which kind of uterine tissue can grow in abnormal locations including the ovaries pelvic peritoneum and small intestine?,

Endometrial

53

Which preoperative diagnostic exam is quickly completed to confirm ectopic pregnancy?

Ultrasound

54

How would you position a patient with an intertrochanteric fracture?

Supine

55

What position allows optimal exposure of the retroperitoneal area of the flank?

Lateral

56

Which of the following is the correct sequence of instruments for placing a screw into bone?
1. Depth Gauge
2. Drill
3. Screw Driver
4. Tap

Drill, Depth gauge, Tap, Screw driver

57

The removal of fibrous thickening of the visceral pleura is

Decortication

58

The only depolarizing muscle relaxant in clinical use is:

Succinylcholine (Anectine)

59

What type of hernia involves a direct and indirect inguinal hernia?

Pantaloon

60

How are the legs of the patient position for lateral position?

Lower leg flexed; upper leg straight

61

The neuroglia of the nervous system:

Support and bind

62

The method of inhalation anesthesia that allows complete re-breathing of expired gases is:

Closed

63

Which member of the surgical team is responsible for protecting an unsplinted fracture during positioning?

Surgeon

64

What personal protective equipment should the surgical technologist don prior to the start of an extracorporeal shock-wave lithotripsy procedure?

Lead apron

65

Another name for tonsil suction is:

Yankauer

66

Which muscles relax when a small pad is placed under a patient's head in the supine position?

Strap

67

When a medication or local anesthetic is passed to the surgeon the surgical technologist should:,

State the name and dosage of the medication

68

A type of bone-holding forceps is:

Dingman

69
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Which surgical procedure would use the instrument shown below?

Coronary artery by pass

70

According to OSHA standards protective eye wear of some form must be worn:,

On all cases

71

Which pathological condition of the small intestine could be misdiagnosed as acute appendicitis?

Meckel's diverticulum

72

Which piece of equipment is required for administration of a Bier block?

Double-cuffed tourniquet

73

Which subcategory of drug preparation is a combination of two liquids that cannot mix?

Emulsion

74

What is the average normal respiration rate for children?

18 to 30

75

The introduction of radiopaque contrast medium into an artery or vein is called a/an:

Angiography

76

What anatomical structure must be approximated after a colectomy to prevent herniation of abdominal contents?

Mesentery

77

To prevent density instrument sets should not exceed:,

25 lbs

78

When surgically treating hydrocephalus where is the shunt placed?,

Lateral ventricle

79

Which of the following is a type of uterine fibroid?

Leiomyoma

80

The ureters enter the bladder medially:

From the posterior aspect

81

The pathogen that most often causes postoperative surgical site infections is:

Staphylococcus aureus

82

Which organ is the most frequently injured during a motor vehicle accident?

Spleen

83

Where would the surgical technologist find pertinent information for "pulling" a case?

Preference card

84

Suture material that becomes encapsulated by fibrous tissue during the healing stage is:

Non-absorbable

85

If a mentoplasty is being performed the surgical technologist should confirm a prosthesis is available for the:,

Chin

86

Which of the following means cell "eating"?

Phagocytosis

87

Which nerve could be damaged when the patient is placed in Fowler's position?

Sciatic

88

What is the correct order for donning OR attire?
Scrub Suit
Mask
Shoe Cover
Hair Cover

Hair cover, Scrub suit, Mask, Shoe covers

89

The cranial nerve responsible for hearing and balance is the:

VIII

90

Which of the following is not a a hemostatic agent used in orthopedic surgery?

Xeroform

91

Which of the following is responsible for disseminated intravascular coagulation?

Endotoxin

92

The copper wire in the electrosurgical unit that allows the flow of free electrons is called the:

Conductor

93

At the end of a procedure the surgeon asks for the local anesthetic to inject intra-articular. Where is the surgeon injecting the local drug?,

Within joint

94

Which preoperative diagnostic test is useful in diabetic patients with small vessel arterial disease?

Plethysmography

95

Which of the following is the most effective method for sterilizing items that can be damaged by steam sterilization?

Ethylene oxide

96

The mandible articulates with which bone?

Temporal

97

What could result from crossing the patient's arms across his/her chest in the supine position?

Interference with respiration

98

Which of the following is incorrect when preparing a paper-plastic peel pack?

Instruments are held together with autoclave tape within the peel pack

99

Which of the following degrees in Celsius equals 98.6 degrees Fahrenheit

37

100

When the surgical technologist is preparing surgical instruments for transport to the decontamination room which statement is incorrect?,

Instruments with multiple parts should be assembled

101

If a short bone is being removed from the wrist due to arthritis what is being removed?,

Carpal

102

Which of the following heals by contraction, granulation and connective tissue?

Delayed closure

103

Before transporting instruments to the decontamination room what should the surgical technologist complete?,

Presoak instruments in detergent solution

104

Which solution is best for presoaking instruments in the OR at the end of a procedure?

Enzyme

105

A mesh that is contraindicated in the presence of infection is:

PTFE

106

Which of the following provides additional protection to prevent contamination of a sterile package?

Dust cover

107

The stripes on a team chemical indicators change to what color upon exposure to sterilization parameters?

Black

108
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For which fracture is the instrument shown below best used?

Radius

109

During a kidney transplant the renal vein of the donor kidney is anastomosed to the:,

External iliac vein

110

Which procedure corrects testicular torsion?

Orchiopexy

111

Which instrument is used to incise the tympanic membrane?

Myringotomy knife

112

An example of a nonadherent inner layer dressing is:

Xeroform

113

To prevent a cerebral aneurysm from rupturing the surgeon will:,

Apply a specially designed clip at base of aneurysm

114

The opthalmologist tells the surgical technologist to place 2 drops atropine sulfate OU. What does this mean?

Both eyes dilated

115

If a patient requests to see a member of the clergy upon arrival to preoperative holding:

Call for a clergy person before the anesthesia is administered

116

If cultures cannot be immediately transported from the surgery department to pathology they should be:,

Placed in a refrigerator

117

In terms of transmitting an infection what is a fomite?,

Inanimate object

118

When positioning the patient for a cesarean section where is the bolster placed and why?,

Right side; relieve pressure on vena cava

119

The conducting fibers that extend from the AV node to the interventricular septum form the:

Bundle of His

120

Items that are impenetrable to X-rays are described as:

Raiopaque

121

During surgical rotation the skills of a surgical technology student may be evaluated by the:,

Surgical technologist preceptor

122

During a TRAM procedure which is used to identify and preserve the superior epigastric arteries?,

Doppler

123

Which of the following should be accomplished when preparing an Esmarch bandage for sterilization?

Layer of Webril rolled with bandage

124

Which of the following is the correct order of the layers of the colon?
1. Serosa
2. Submucosa
3. Muscularis
4. Mucosa

4, 2, 3, 1

125

Air or fluid accumulation due to poorly approximated wound edges could result in:

Dead space

126

What is the first step of opening a small sterile wrapped package when establishing the sterile field?,

Open first flaw away from self

127

Which surgical approach is often used for a craniotomy for aneurysm repair?

Frontotemporal

128

Which of the following forceps would be used during a splenectomy?

Right angle

129

A blood pH of 7.5 indicates:

Alkalosis

130

Which knife blade should be placed on the knife handle when preparing the Mayo stand for a knee arthroscopy?

#11

131

What is the function of phagocytic white blood cells?

Engulf and destroy bacteria

132

A surgical technologist is talking with a patient in the PACU with arms folded and at a distance. This could be interpreted by the patient as:

Negative

133

Which of the following describes the action of histamine. (H2 blockers)?

Decrease gastric volume in the stomach

134

What decision should the OR team make when treating a minor who requires a blood transfusion but the family religion is Jehova's Witness?,

Do not give transfusion

135

What does 'x' equal in the proportion 3:5 = 9:x?

15

136
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Which surgical procedure uses the instrument shown below?

Abdominal hysterectomy

137

During a suprapubic prostatectomy which needle holder may be used when reconstructing the bladder outlet?,

Heaney

138

When performing a total knee arthroplasty the surgeon removes the osteophytes from the rim of the femur and tibia with a:,

Kerrison

139

Which suture technique provides an excellent cosmetic closure?

Subcuticular

140

During a radical neck dissection with mandibulectomy which bone is harvested for the graft?,

Fibula

141

To prevent charring of bone when it is being cut or drilled the surgical technologist should use:,

Suction irrigator

142

Pain heat, redness and swelling indicate which of the following conditions?,

Inflammation

143

Which clamp is most often used to grasp the appendix?

Babcock

144

The inner lining of the uterus is the:

Endometrium

145

Which type of dressing washes or wears off after several days?

Collodian

146

A patient requires a stat cesarean section. Which of the following might be omitted?

Counts

147

Which of the following is the first action to be taken following a needle stick?

Remove needle from the sterile field

148

Which of the following drapes is used for a thyroidectomy?

Transverse

149

Testosterone is secreted by the:

Leydig cells

150

When a surgeon is using a Kocher subcostal incision which muscle is divide by electrosurgery?,

Rectus abdominis

151

What are the boundaries of the skin prep for a total hip arthroplasty?

Level of umbilicus to foot

152

Which of the following are abdominal skin prep perimeters for an exploratory laparotomy?

Nipple line to midthigh

153

Which of the following is the main reason for wearing the OR attire?

Limit spread of microbes

154

Which of the following substances are absorbed in the stomach?

Alcohol

155

A laparotomy drape is placed on the left side inguinal area of the patient but should have been placed on the right side. What should be done to correct the error?,

Remove drape and place new drape on right side

156

Which stapling device would be used during an esophagectomy to divide the esophagus?

TA

157

Movement disorder diseases caused by radiation therapy are characterized by destruction of the:

Myelin sheath

158

During which procedure would a Gigli saw possibly be used?

Craniotomy

159

A surgeon indicates that she may place a shunt during a carotid endarterectomy. What should the surgical technologist have available in the OR?

Javid

160

What is the best synthetic substitute for stainless steel?

Polypropylene

161

Which of the following microorganisms is used within the biological indicator for ethylene oxide sterilization?

Bacillus atrophaeus

162

What does the suffix -itis mean?

Inflammation

163

To prevent peel pack pouches from opening during sterilization the surgical technologist should:,

Force out air from pouch

164

Retention bridges are used to:

Prevent heavy sutures from cutting into the skin

165

During a CABG procedure the saphenous vein is sutured to the:,

Coronary artery

166

Which of the following would be used to remove the lamina during a laminectomy?

Kerrison rongeur

167

What category of instruments are a Hibbs and Hohmann?

Retractors

168

Which drain should the surgical technologist have available for insertion into the common bile duct during an exploration?

T-tube

169

A padded footboard is used in which surgical position?

Reverse Trendelenburg

170

The inner lining of the gastrointestinal tract is composed of which type of tissue?

Epithelial

171

Which of the following statements is incorrect when double peel packing an item(s) for sterilization?

Inner peel pack is folded

172

If a surgeon performs a surgical procedure without the patient having signed the consent form the surgeon can be charged with:,

Battery

173

Spores are a:

Form assumed by bacilli

174

Which of the following applies to a patient who suffers a burn due to improper placement of the patient return electrode?

Unintentional tort

175

Which graft material does not require pre-clotting for placement during an abdominal aortic anerysmectomy?

PTFE